| NPI | 1336706662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 147985) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 266422) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-06-21 |